Individual provider Active NPI

Jimena G Lozovikas Garabedian

  • Clinical Social Worker
  • Southbury, CT
National Provider Identifier
1396513743
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6598 Issued in CT
Practice address
900 Main St S Ste 201
Southbury, CT 06488-2224
Phone
(203) 255-5078
NPI assigned
Dec 14, 2023
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6598 CT Primary

Addresses

Primary practice location

900 Main St S Ste 201
Southbury, CT 06488-2224

Mailing address

8 Apple Dr
Oxford, CT 06478-3203
Phone (203) 240-0137

Other practice location 1

8 Apple Dr
Oxford, CT 06478-3203
Phone (203) 240-0137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251114000924 CT Practitioner - Clinical Social Worker 1052802337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1680 Campbell LN
Suite 109
Bowling Green, KY 42104-1053

8 Wakeman Rd
Fairfield, CT 06824-5120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6598CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Connecticut Christian Counseling Center Clinical CurrentSince Oct 1, 2025 Accepting new patients

Locations

8 Wakeman Rd
Fairfield, CT 06824
Phone (203) 255-5078

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1396513743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 APPLE DR",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064783203",
            "telephone_number": "203-240-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST S STE 201",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882224",
            "telephone_number": "203-255-5078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Apple Dr",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "CT",
            "postal_code": "064783203",
            "country_code": "US",
            "telephone_number": "203-240-0137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOZOVIKAS GARABEDIAN",
        "first_name": "JIMENA",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "6598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.